Wilms' tumor

Background

• Affects children <10yr
• Arises from persistent embryonal renal cells
• 10-15% will have mets at presentatio (lungs)

Diagnosis

• Abdominal swelling/mass
  • Avoid vigorous palpation to prevent capsular rupture
• Pt often appears well

Work-Up

• UTZ or CT
• CBC, chemistry, LFT, coags

Disposition

Admission

Source

Tintinalli